test Please enable JavaScript in your browser to complete this form.Date *Reference Provided For (Vendor Name) *Dear Accounting/Finance:The above referenced company has applied for credit with our company and has listed you as a credit reference. To assist us in making our credit decision, please provide us with the below requested information.HIGH CREDIT LIMIT *PRESENT BALANCE *PAYMENT HISTORY *# OF PAYMENTS MORE THAN 30 DAYS LATE *LENGTH OF TIME ACCOUNT OPEN *OTHER *Completed By (Your Name) *Company Name *Any information received from you will be held confidential. Sincerely, Melissa Truitt Controller 601-603-9050Submit